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1295074250
CAROL A IVES
TAMPA, FL
NPI
1295074250
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Former Name
CAROL A LUCKETT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: FL ARNP9264392)
Enumeration Date
2013-02-11
Last Update Date
2022-08-30
Business Address
CAROL A IVES ARNP
5130 SUNFOREST DR STE 300
TAMPA, FL 33634-6327
Phone number: 727-824-0780
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Mailing Address
CAROL A IVES ARNP
5130 SUNFOREST DR STE 300
TAMPA, FL 33634-6327
Phone number: 727-824-0780
Copy
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